stock-power.cftemplate

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    For value received, the undersigned (""Holder""), hereby sells, assigns and transfers unto [Transferee Name] (""Transferee"") [Number of Shares] shares of the Common Stock of [Company Name], a Delaware corporation (the ""Company""), standing in <Holder>'s name on the <Company>'s books as Certificate No. [Stock Certificate Number] whether held in certificated or uncertificated form, and does hereby irrevocably constitute and appoint [Name of Appointee] to transfer said stock on the books of the <Company> with full power of substitution in the premises.

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    This Stock Power may only be used as authorized by the Common Stock Purchase Agreement between the <Holder> and the <Company>, dated [Effective Date] and the exhibits to that agreement (the ""Agreement"").

    \ Instructions \
    Please do not fill in any blanks other than the signature line. The purpose of this assignment is to enable the <Company> to exercise its repurchase option under the <Agreement> without requiring additional signatures on the part of <Holder>.